HomeMy WebLinkAboutR 2017-082-E DEAPR - Edward Larson for chess instruction DocuSign Envelope ID:77423F01-E4DB-48DC-8F6D-78CD8BD65CE6
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Edward Larson Party/Vendor Contact Person: Edward Larson Contact Phone: 919-636-2889
Party/Vendor Address: 610 Elin Court City Hillsborough State: NC Zip: 27278 Department: DEAPR Amount:
$378.00 Purpose: Chess Instruction Budget Code(s): 10511020 630000 Vendor # (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑
Effective Date 4/11/2017 Approved by Board Yes❑No Agenda Date:
This agreement is approved as to to '�,,.u�old content:
Department Director's Signature � � �� � Date: 2/13/2017
611�FA1D567A495...
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficienc /d �,od> estandards, specifications,and requirements:
((USX ,ff6 2/13/2017
Office of the Risk Management Officer Date:
Fbe1=9St7681984913
Financial Services
This instrument has been pre-audited i a11i vequired by the Local Government Budget and Fiscal Control Act:
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Office of the Chief Financial Officer Date: 2/15/2017
7D4E51-81 Fcet,14b9...
Legal Services
This agreement is approved as tockgag2R...id sufficiency:
Office of the County Attorney ,)b lebk Date: 2/15/2017
'1/4—EAA3D33ED8A8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 6/16 4
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